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移动互联网技术在乳腺癌患者术后康复个案管理中的应用研究

徐海萍 王水 孙茹萍 毛双玮   

  1. 江苏省人民医院乳腺病科, 210029 南京市
  • 出版日期:2017-11-25 发布日期:2017-11-25

Internet and mobile technology use in case management among breast cancer patients after surgery

  • Online:2017-11-25 Published:2017-11-25

摘要: 目的:分析移动互联网技术在乳腺癌患者术后康复个案管理中的应用效果。方法:将2016年3-8月我院收治的150例乳腺癌改良根治术患者作为研究对象。2016年3月1日至5月15日收治的75例患者为对照组,采用传统个案管理模式;2016年6月15日至8月31日收治的75例患者作为观察组,将移动互联网技术应用于乳腺癌患者术后个案管理的宣教、随访及远程会诊中。个案护理师在干预前1天和干预后1个月及2个月,分别比较两组术后并发症、生活质量及满意度等指标。结果:干预后移动互联网技术个案管理组的术后并发症低于传统个案管理组,干预后2个月观察组和对照组的生活质量总分(100.40±4.88 vs 96.44±4.01)和满意度(12.21±0.86 vs 11.87±1.26),差异有统计学意义(P<0.05)。结论:个案管理加入“移动互联网技术”这种新型的干预方式,减少了术后并发症,提高了患者生活质量和满意度,值得临床推广应用。

Abstract: Objective: To evaluate the impact of mobile and Internet technology using in case management provided to breast cancer patients after surgery. Methods: 150 patients with breast cancer after modified radical mastectomy from March to August 2016 were recruited. Participants were assigned to a test group that had access to an Internet and mobile phone-based case management program (n=75) or to a control group (n=75) that received regular case management program. Postoperative complications, quality of life and patients' satisfaction of the two groups were compared on baseline, 1 month and 2 months after intervention. Results: At the end of the study period, the test group reported a significantly lower postoperative complication incidence rate. The differences of quality of life (100.40±4.88 vs 96.44±4.01) and patients' satisfaction (12.21±0.86 vs 11.87±1.26) 2 months after intervention of the two groups were statistically significant (P<0.05). Conclusion: Mobile and Internet technology using in case management can reduce postoperative complications, improve the quality of life and patients' satisfaction.